Individual
DR. TIMOTHY MARC GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
2 BALA PLZ, BALA CYNWYD, PA 19004-1501
(610) 664-8830
Mailing address
2 BALA PLZ, BALA CYNWYD, PA 19004-1501
(610) 664-8830
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD045430L
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD045430L
PA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD045430L
PA
208200000X
Plastic Surgery Physician
MD045430L
PA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD045430L
PA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD045430L
PA
Other
Enumeration date
02/09/2007
Last updated
07/15/2019
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